| Doctor Name: | DR. EDWARD FRED BARTSCH |
| NPI Number: | 1588714851 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D0043 |
| Business Practice Address: | 5207 E 5th St Katy, TX - 774932119 |
| Business Phone Number: | 2813913185 |
| Business Fax Number: | 2813913749 |
| Mailing Address: | Po Box 68, KATY |
| State: | TX |
| Postal Code: | 774920146 |
| Phone Number: | 2813913185 |
| Fax Number: | 2813913749 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |